首页|探讨针灸配合推拿在神经根型颈椎病中的作用

探讨针灸配合推拿在神经根型颈椎病中的作用

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目的 分析针灸配合推拿治疗神经根型颈椎病的效果.方法 选择 60 例神经根型颈椎病患者作为研究对象,按照随机数字表法分为对照组(30 例,采取常规西药治疗)和观察组(30 例,采取针灸配合推拿治疗).比较两组患者的治疗效果、随访 1 年复发率、症状积分、颈椎功能障碍指数量表(NDI)评分、视觉模拟评分法(VAS)评分、生活质量综合评定问卷(成人)-74(GQOL-74)评分.结果 治疗后,观察组患者治疗总有效率 96.67%高于对照组的 80.00%(P<0.05).观察组随访 1 年复发率 10.00%低于对照组的 40.00%(P<0.05).治疗后,两组的单肢麻木、上肢麻木疼痛、颈项不适积分下降,且观察组患者单肢麻木、上肢麻木疼痛、颈项不适积分分别为(1.01±0.15)、(0.95±0.10)、(0.92±0.10)分,均明显低于对照组的(1.80±0.20)、(1.55±0.20)、(1.55±0.20)分(P<0.05).治疗后,两组NDI、VAS评分下降,且观察组患者NDI、VAS评分分别为(5.80±0.80)、(1.50±0.30)分,均明显低于对照组的(10.80±1.20)、(3.95±0.70)分(P<0.05).治疗后,两组的躯体功能、心理功能、社会功能、物质生活评分提升,观察组患者躯体功能、心理功能、社会功能、物质生活评分分别为(94.30±3.03)、(95.02±3.30)、(95.02±3.03)、(95.20±2.30)分,均明显高于对照组的(90.03±2.50)、(90.02±2.50)、(90.02±2.50)、(90.03±3.02)分(P<0.05).结论 针灸配合推拿治疗神经根型颈椎病患者预后良好.
Discussion on the role of acupuncture and moxibustion combined with massage in cervical spondylotic radiculopathy
Objective To analyze the effect of acupuncture and moxibustion combined with massage in the treatment of cervical spondylotic radiculopathy.Methods A total of 60 patients with cervical spondylotic radiculopathy were selected as the study subjects.According to the random number table,they were divided into a control group(30 cases,conventional western medicine)and an observation group(30 cases,acupuncture and moxibustion and massage).Comparison was made on therapeutic effect,recurrence rate at 1-year follow-up,symptom score,Nec kdisability index(NDI)score,visual analogue scale(VAS)score and generic quality of life inventory-74(GQOL-74)score between the two groups.Results After treatment,the total effective rate of the observation group was 96.67%,which was higher than 80.00%of the control group(P<0.05).The recurrence rate at 1-year follow-up of the observation group was 10.00%,which was lower than 40.00%of the control group(P<0.05).After treatment,the scores of single limb numbness,upper limb numbness and pain,and neck discomfort in the two groups decreased;the scores of single limb numbness,upper limb numbness and pain,and neck discomfort of patients in the observation group were(1.01±0.15),(0.95±0.10),and(0.92±0.10)points,which were significantly lower than(1.80±0.20),(1.55±0.20),and(1.55±0.20)points in the control group(P<0.05).After treatment,NDI and VAS scores decreased in both groups;NDI and VAS scores in the observation group were(5.80±0.80)and(1.50±0.30)points,which were significantly lower than(10.80±1.20)and(3.95±0.70)points in the control group(P<0.05).After treatment,the scores of physical function,psychological function,social function and material life improved in both groups;the scores of physical function,psychological function,social function and material life in the observation group were(94.30±3.03),(95.02±3.30),(95.02±3.03)and(95.20±2.30)points,which were ignificantly higher than(90.03±2.50),(90.02±2.50),(90.02±2.50)and(90.03±3.02)points in the control group(P<0.05).Conclusion Acupuncture and moxibustion combined with massage has a good prognosis for cervical spondylotic radiculopathy.

Acupuncture and moxibustionMassageCervical spondylotic radiculopathyTherapeutic effect

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361100 厦门市同安区祥平街道社区卫生服务中心

针灸 推拿 神经根型颈椎病 治疗效果

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(15)
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